I sat in on another Pharmacy and Therapeutics meeting in our hospital. I listened to the MDs complain (once again) about the calls they receive from nurses, pharmacists and techs re: clarifying orders that were written illegibly or in an unsafe manner. For example "resume all pre-op meds". Also, they are also having difficulty with nurses refusal to take verbal orders. And they don't like the telephone order protocol either (because they don't have time for all that "nonsense".
The Director of Nursing Practice, and the Chief Pharmacist ONCE AGAIN relayed to the doctors that the staff have specific guidelines to follow if the orders are written in an unacceptable manner. And they also mentioned to the docs AGAIN, that nurses and pharmacists are NOT doctors and we cannot do this for them. After the physicians left the meeting, the remaining pharmacists, nurses, resp therapists had (AGAIN) a discussion about the physician's non-compliance and laissez-faire attitude in this matter, which causes a lot of work for everyone else.
Of course included in the discussion was the manner in which the physician attitude is frequently relayed to the person seeking the doctors counsel. And the attitude is often fairly UNPLEASANT and in some cases abusive.
SO...... why aren't we handling all patient related conversations on special lines to record, or convert to text, and time and date stamp these crucial communications?
A lot of other less crucial businesses do it.
I believe hospital nurses and pharmacists and therapists taking these orders need this protection. And the PATIENT needs protection from me, possibly writing the wrong order. (because i'm NOT a doctor!)
Why do we continue to take the blame, abuses, and secretarial duties dished out by doctors, without demanding some action? We should have ALL of these communications recorded by a third party electronic device.
Perhaps there would be no more "he said, she said"...because we all know who wins that argument....
Just because you're not getting the response you so hoped for doesn't mean you should get your orifice in a twist ... I know you're shocked and bewildered that such a great idea is ridiculous to some of us; be cool.
Last edit by tyvin on Aug 25, '11